913.251A SANITARY SEWER APPLICATION.
 
CITY OF LORAIN
DEPARTMENT Of PUBLIC SERVICE
Division of Engineering
 
SANITARY SEWER PERMIT NO.                           VOID 1 YEAR FROM DATE
 
Permission is hereby granted to                                                                to connect
premises located at Lot                  Blk.                    Addition                                           
with the main Sewer located in                                               Street, said applicant in
accepting this permit agrees in consideration of the rights and privileges granted:
   (l)    To hold the City harmless for any loss or damage that may in any way result from or be occasioned by such connection;
   (2)    That said owner shall maintain said connection or sewer in a serviceable condition from the building to the Tee, 'Y', or Tap in the main sewer, all at his own cost and expense;
   (3)    That any part of said connection or sewer constructed under said permit, in a public street, may, where deemed in public interest, be appropriated by the City as a public sewer;
   (4)    That the use and construction of said connection or sewer shall be subject to and in conformance with all regulations and conditions set forth in City Ordinances controlling the use and construction of sanitary sewers.
 
   Permit charges due and payable prior to issuance of permit:
   Sewer Permit Fee                                          
   Tap-In and Service Charge                             (calculations on reverse side)
   Capital Improvement Fee                               (calculations on reverse side)
   Deferred Assessment Charge                          (calculations on reverse side)
   Pavement Opening Deposit                             Permit Issued on         ,198        
                   Deposit Refunded         ,198     
   Other Charges                                               (see reverse side)
   TOTAL CHARGES                                      
 
Licensed Sewer Contractor (authorized by the Owner)                                                         
                        (Licensed Contractor)
Permit Issued                                                       
            (Date)
Signed                                                                 
         (City Engineer)
 
Copy forwarded to the Director of Utilities                                                                        
                           (Date)
 
(Ord. 19-91. Passed 3-18-91.)